腕骨骨折

最后审阅: 20 四月 2022
最后更新: 06 五月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 创伤史或骨质疏松病史
  • 手腕疼痛
  • 桡骨远端压痛
  • 肿胀
更多 关键诊断因素

其他诊断因素

  • 畸形
  • 鼻烟窝压痛
  • 手指麻木
  • 感觉减退
  • 开放性伤口
其他诊断因素

危险因素

  • 外伤
  • 骨质疏松症
更多 危险因素

诊断性检查

首要检查

  • 手腕 X 光平片
更多 首要检查

需考虑的检查

  • 腕部 CT
  • 腕部 MRI(平扫)
  • 双能 X 线骨密度测量仪 (DXA) 测定
更多 需考虑的检查

治疗流程

初步治疗

闭合性骨折

开放性骨折

急症处理

单纯桡骨远端骨折

孤立性舟状骨骨折

合并桡骨远端和舟状骨骨折

持续性治疗

确诊腕部骨折

撰稿人

作者

Niels W.L. Schep, MD

Trauma, Hand and Wrist Surgeon

Department of Trauma and Hand Surgery

Maasstad Hospital

Rotterdam

Netherlands

利益声明

NWLS is an author of several references cited in this topic. He is a consultant for Synthes, Medartis, and Arthrex, and has received honoraria from The AO Foundation for teaching courses.

鸣谢

Dr Niels W.L. Schep would like to gratefully acknowledge Dr Jeffrey N. Lawton, Dr John R. Lien, Dr Gregory D. Byrda, Dr Tamara D. Rozental, and Dr Chaitanya S. Mudgal, previous contributors to this topic.

利益声明

JNL is a consultant for Innomed Inc, has received honoraria from The AO Foundation for teaching courses, and has been sponsored for research by DePuy Synthes. JRL and GDB declare that they have no competing interests. TDR is an author of several references cited in this topic. CSM has been reimbursed by AO North America and Asia Pacific for being a faculty member during educational conferences. 

同行评议者

Asif Ilyas, MD

Program Director of Hand and Upper Extremity Surgery

Rothman Institute

Associate Professor of Orthopaedic Surgery

Thomas Jefferson University

Philadelphia

PA

利益声明

AI declares that he has no competing interests.

Isam Atroshi, MD, PhD

Associate Professor of Orthopaedics

Lund University

Chief

Hand Surgery Section

Department of Orthopaedics

Hässleholm and Kristianstad Hospitals

Sweden

利益声明

Not disclosed.

  • 腕骨骨折 images
  • 鉴别诊断

    • 手腕拉伤
    • 腕骨韧带损伤
    • 三角纤维软骨复合体 (TFCC) 撕裂
    更多 鉴别诊断
  • 指南

    • 美国放射学会 (ACR) 适用性标准:急性手部和手腕创伤
    • 桡骨远端骨折最佳管理实践
    更多 指南
  • 患者教育信息

    Carpal tunnel syndrome

    Menopause: what is it?

    更多 患者教育信息
  • padlock-lockedLog in or subscribe to access all of BMJ Best Practice

内容使用需遵循免责声明